There's a Gaenslen's sign for lumbar/sacroiliac inflammation pain by moving the hip, etc.
Posted By: no message on 2008-08-06
In Reply to: Ortho report, s/l gaines is positive on the right. TIA - akhan
Subject: There's a Gaenslen's sign for lumbar/sacroiliac inflammation pain by moving the hip, etc.
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we will consider doing facet injections if the lumbar pain is facetogenic in nature. nm
Subject: we will consider doing facet injections if the lumbar pain is facetogenic in nature. nm
..
Some of his ribcage pain is better but he still has what seems to be a little s/l teachy sign.? nm
Subject: Some of his ribcage pain is better but he still has what seems to be a little s/l teachy sign.? nm
agree with chandelier sign...named so because pain could be
Subject: agree with chandelier sign...named so because pain could be
so bad, it would leave women hanging from the chandelier!
d~
Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm
Subject: Pt was injected at L4-L5 and L5-S1 *upper sacroiliac joints or AND upper sacroiliac joints" sm
bilaterally. Thanks
Rovsing sign, pain over McBurney's point when looking for appendicitis. nm
Subject: Rovsing sign, pain over McBurney's point when looking for appendicitis. nm
s
Patient complains of s/l Theater sign with left hip pain. Thanks! nm
Subject: Patient complains of s/l Theater sign with left hip pain. Thanks! nm
chandelier sign...pain so bad it makes you jump off the table and
Subject: chandelier sign...pain so bad it makes you jump off the table and
s
Pt has shoulder pain. On exam has positive s/l scarf sign.
Subject: Pt has shoulder pain. On exam has positive s/l scarf sign.
calf pain with neg. ______ and Homan's sign s/l Platz or Pratts
Subject: calf pain with neg. ______ and Homan's sign s/l Platz or Pratts
xx
There is a "grab sign" = worsening of pain with activities involving flexion - maybe that's
Subject: There is a "grab sign" = worsening of pain with activities involving flexion - maybe that's what he's talking about
sl/l positive bordel sign (from flexing neck and causes back pain)
Subject: sl/l positive bordel sign (from flexing neck and causes back pain)
Gaenslen...
Subject: Gaenslen...
The patient is supine, the affected side lying close to the edge of the table, the hip and knee of the non-affected side (if the lower trunk pain is unilateral) are flexed. The patient is directed to clasp his hands around the flexed knee and hold it to his chest. The patient is then brought toward the side of the table and the opposite lower limb is extended over the table edge at the hip. The examiner then applies downward pressure against the clasped knee and against the knee of the extended hip. Exacerbation of pain from the pelvis constitutes a positive test.
Significance: The test is specific of a sacroiliac joint lesion.
Thank you. It has to be Gaenslen
Subject: Thank you. It has to be Gaenslen
I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
Subject: I hear lumbar. So would it make sense as: Posture has decreased lumbar lordosis
? sacroiliac
Subject: ? sacroiliac
x
? sacroiliac
Subject: ? sacroiliac
could be SI joint, short for sacroiliac
Subject: could be SI joint, short for sacroiliac
this is what I usually hear in ortho, or possibly sciatic notch. just a thought.
Moving on.....nm
Subject: Moving on.....nm
/
Don't think she will be moving on.
Subject: Don't think she will be moving on.
She says she does QA all day, so that is her job and I think she is here to stay.
If she keeps giving crazy answers, may be more and more will soon realize what we have.
Could he be moving on to LUNGS: Clear to auscultation?
Subject: Could he be moving on to LUNGS: Clear to auscultation?
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.
he got a blank tonight - whew - I am moving on to my other rads now :)
Subject: he got a blank tonight - whew - I am moving on to my other rads now :)
I'd give him what he's spelling in quotes and keep moving. They'll drive ya nutz! nm
Subject: I'd give him what he's spelling in quotes and keep moving. They'll drive ya nutz! nm
s
Inflammation? nm.
Subject: Inflammation? nm.
s/l "sential" inflammation..sm
Subject: s/l "sential" inflammation..sm
There is tympanosclerosis of both tympanic membranes; however, there is also significant "sential" inflammation.
inflammation of the kidneys
Subject: inflammation of the kidneys
did not mean nephritis refers to the kidneys, just inflammation of.
peritoneal inflammation?
Subject: peritoneal inflammation?
omphalitis is inflammation of umbilicus nm
Subject: omphalitis is inflammation of umbilicus nm
posthitis inflammation of foreskin
Subject: posthitis inflammation of foreskin
Amcort® Injection? for inflammation
Subject: Amcort® Injection? for inflammation
maybe Zylet for ocular inflammation? nm
Subject: maybe Zylet for ocular inflammation? nm
xx
Maybe C-reactive protein. Used to detect inflammation. nm
Subject: Maybe C-reactive protein. Used to detect inflammation. nm
s
concha bullos is not same..itis for inflammation..sm
Subject: concha bullos is not same..itis for inflammation..sm
did not give content because he just says "mild left concha bullitis". He uses concha bullosa throughout dictations all the time also, but this is second or third time with this term and bullitis is not something even on Google or Stedman's site.
s/l **Medrol dexamethasone Pak** for inflammation. Can't document.
Subject: s/l **Medrol dexamethasone Pak** for inflammation. Can't document.
``
There is Voltaren ophth solution for inflammation sm
Subject: There is Voltaren ophth solution for inflammation sm
after cataract extraction.
Maybe mucositis, painful inflammation of the mucous tract
Subject: Maybe mucositis, painful inflammation of the mucous tract
s
No, bronchitis is inflammation of the bronchi, nothing to do with trachea or nose. nm
Subject: No, bronchitis is inflammation of the bronchi, nothing to do with trachea or nose. nm
.
Patient with chronic venous hypertension with ulcer and inflammation - sm
Subject: Patient with chronic venous hypertension with ulcer and inflammation - sm
Patient is provided with s/l avalock/adalok samples. Thanks!
anusitis is simply inflammation of the anal canal per http://www.emedicine.com/med/TOPIC2742.HTM
Subject: anusitis is simply inflammation of the anal canal per http://www.emedicine.com/med/TOPIC2742.HTM
possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
abdominal exam: obturator sign, and positiv s/l Zoe-is sign
Subject: abdominal exam: obturator sign, and positiv s/l Zoe-is sign
grind test or Galeazzi sign, Gower sign
Subject: grind test or Galeazzi sign, Gower sign
if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
could be TKA-total knee amputation. pain could be "ghost" pain --nm
Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm
///
Drug name - s/l amarek, for back pain and neck pain
Subject: Drug name - s/l amarek, for back pain and neck pain
Any ideas? Thanks!
Cullen sign, Grey Turner sign. No s. nm
Subject: Cullen sign, Grey Turner sign. No s. nm
Lloyd's sign. Look in medical dictionary under sign. NM
Subject: Lloyd's sign. Look in medical dictionary under sign. NM
:
She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
:-)
J sign or Jay sign?? Ortho - knee. TIA, nm.
Subject: J sign or Jay sign?? Ortho - knee. TIA, nm.
s/l watiers sign or goiters sign? nm
Subject: s/l watiers sign or goiters sign? nm
nm
Myerson's sign or Meyerson's sign
In the physical exam, neurology doc is spelling Meyerson's sign. In two books I find Myerson under signs and cannot verify Meyerson's anywhere. Any thoughts? Thank you in advance for your help!
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